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How To Deal With Separation Anxiety In Toddlers

Remind Your Child That Youre Coming Back

Toddler and Preschool Separation Anxiety Tips

If youve ever heard the song, Grown Ups Come Back from Daniel Tiger, there is something very powerful about it.

As adults, we might overlook that children need to hear that were coming back soon to get them. We know that well be back, but they need that extra reassurance. Thankfully, Daniel Tiger comes to the rescue with the absolute perfect song.

In the days leading up to a new drop off routine, talk with your child about how they will go to school without you but that you will come back to get them. You can even teach them the song to help with the process!

If your schedule changes during the day and you need to arrive later than normal, make sure you call your childs school/teacher to let them know. They can then communicate to your child that youre running late but are still coming.

Preparing Your Child For New Situations

You may want to prepare your child ahead of time before entering situations or meeting people you know make them anxious.

You can do this by giving them as many details as you can. Encourage them to bring along a favorite toy or security blanket. Give your child time to adjust to new situations, settings, and people, even if that means they spend time on your lap getting used to everything.

What Causes Your Toddlers Separation Anxiety

There can be many contributing factors to your childâs separation anxiety, along with the fact that it is a normal part of the sleep regressions that happen at many stages of childhood. In this case it is most often around 8-12 months, 18 months, and 2 years old. Most children outgrow their nighttime separation anxiety by 3 years old.

There are many contributing factors that can increase your toddlerâs separation anxiety, including:

  • Starting at a daycare or preschool
  • A new caregiver
  • Loss of a parent or caregiver
  • Moving to a new home
  • Feeling unwell from things like teething, a cold, or an ear infection
  • Caregivers who are stressed, tired, frustrated, and emotional. Children will pick up emotional cues and emulate them.

Read Also: Can Depression And Anxiety Cause Physical Pain

Why Does My 2

According to Tovah Klein, who holds her doctorate in clinical and developmental psychology and is the director of the Barnard College Center for Toddler Development and author of How Toddlers Thrive, 2-year-old separation anxiety typically stems from toddlers desire to explore the world around them and the worry that follows from being in uncharted territory on their own. Two-year-olds are just starting to gain a strong sense of self, someone whos separate from mommy and daddy, notes Klein. And while its great that theyre eager to explore the world around them, they soon realize that the world is a big place that can be scary at times.

Even though it may often seem like your toddler wants to do everything on their own , they still very much want and need the comforting home base of their parents. When a child is out in the world without their parent, there can be anxiety that stems from wondering and worrying about whether the parent is still there for them, says Klein. Even though children this age are starting to become aware that they have different ideas from their parents, and that theyre not always following the rules, they still worry about their parents being upset, and at the extreme, they fear losing them.

In other words, contrary to how your child may act sometimes, they still very much need you.

Autism And Anxiety In Child

From @BalancingMama: Separation anxiety in toddlers + tips for daycare

There is a growing body of evidence that suggests a strong link between autism and anxiety in children. Many children with autism spectrum disorder experience significant levels of anxiety, which can interfere with their ability to function and participate in daily activities. While the exact causes of this link are not yet known, it is believed that ASD and anxiety may share some underlying biological mechanisms. Treatment for anxiety in children with ASD often includes a combination of behavioral therapy and medication.

A comorbid diagnosis, such as autism spectrum disorder or other comorbid conditions, can be extremely disabling at times. Comorbid anxiety is caused by an excessive amount of worry and fear. Children with ASD frequently exhibit a variety of behaviors that overlap with symptoms seen in children with other types of anxiety disorder. Anxiety is a significant issue in the lives of many children and teens with ASD, despite the fact that the condition is not officially recognized. There is some debate about whether we should develop different ways to measure anxiety in people who have autism spectrum disorders . Children and teenagers with ASD will have a much harder time reporting their symptoms because they will be unable to do so. Cognitive-behavioral therapy has been shown to be the most effective way of treating anxiety disorders.

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Making Your Toddler Feel Comfortable

  • 1Help your toddler adjust to the caregiver. Reduce your child’s separation anxiety by helping your child feel comfortable with the caregiver. You might hang a picture of the caregiver on the fridge. You should also spend a few minutes talking with the caregiver in front of your child so they feel familiar.XResearch source
  • Talk about the caregiver when you’re home with your toddler. Ask your toddler what they like about the caregiver or offer suggestions like “Ms. Sarah is really nice, don’t you think, Thomas?”
  • 2Plan your absences. You shouldn’t feel like you can never leave your toddler if they’re showing signs of separation anxiety. Instead, plan on keeping your absences short in the beginning. As your toddler gets used to these you can stretch the amount of time you’re gone.XResearch source
  • For example, plan a quick trip or errand where you’ll only be gone for about 5 minutes. If your toddler is fine with this length, gradually extend it.
  • 3Avoid sneaking out. Many parents think that if their toddler doesn’t see them leave, the toddler won’t get upset. Unfortunately, this can actually be more distressing for your toddler once they realize you’re gone. Instead, let your child know you’ll be going, say a fast goodbye and then leave.XResearch source
  • Once you’re out the door, stay gone. Don’t run back in for another goodbye or because you forgot something. This can confuse your child and make them more upset.
  • What Is Stranger Anxiety

    If separation anxiety is stressing you out, welcome to stranger anxiety. The same way your child may cry when you leave the room, they can have a similar reaction when an unfamiliar person comes near. It could seem a bit frustrating at first . But its also a display of growth. Your child is developing facial recognition and understanding who is familiar and who isnt. It usually starts at around eight to nine months and goes away sometime around two-years-old. Each child shows stranger anxiety differently, so your kid could have a full-blown meltdown to just an angry little face.

    Think of it like this: Even adults have their own way of dealing with people they dont know. So, when your child cries over meeting people or treats their grandparents like strangers, try not to make it a big deal. Just do your best to be a calming presence. With time, theyll come to recognize that newcomers can be trusted, too.

    Read Also: How To Get Rid Of Anxiety After A Breakup

    Infant And Early Childhood Mental Health

    Babies come into this world ready and wired to form relationships. From the moment of birth, children are forming connections, developing social responses and learning about themselves and the world around them.

    Infant and early childhood mental health is at the center of every single step we take at ZERO TO THREE. No other core issues matter if we dont begin by acknowledging that babies come into the world with a capacity for a rich emotional life and are so much more than passive observers of the world around them.

    Coping With Separation Anxiety In Children

    Separation Anxiety in Children: Stages, Pediatric Nursing NCLEX Review

    Start Early experts share tips and resources for parents and teachers to help children cope with separation anxiety in the classroom.

    The thoughts and opinions expressed in this article are informed by what Start Early experts and Educare Chicago teachers have found to be successful ways of mitigating separation anxiety in the classroom. While there are many opinions on this broad topic, one recurrent theme is the importance of establishing a routine.

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    Sign up to receive news, helpful tools and learn about how you can help our youngest learners.

    Helping children to create routines within their daily life is one of the best ways to teach confidence, self-discipline and cooperationskills that later lead to the development of strong coping mechanisms. Such skills enable children to more easily navigate unexpected changes and adjust to unfamiliar environments.

    Also Check: Is Anxiety A Psychiatric Disorder

    Recognizing And Managing Separation Anxiety Disorder

  • 1Pay attention to mild signs of Separation Anxiety Disorder in your toddler. While most children will show some anxiety when a parent leaves, children with SAD will fear a parent leaving to the point that the child will cling to the parent around the house. The toddler may also show signs of sickness. For example, your toddler may have a headache or stomach ache. If your toddler has SAD, they might also refuse:XTrustworthy SourceHelpGuideNonprofit organization dedicated to providing free, evidence-based mental health and wellness resources.Go to source
  • To go to school or leave you
  • 2Get a medical diagnosis. If you’ve tried to comfort your toddler and adjust your goodbye routine, but your toddler is still anxious, they might have a more severe form of Separation Anxiety Disorder. If your toddler has any of these signs, consider taking them to a mental health professional for a diagnosis and help:XTrustworthy SourceHelpGuideNonprofit organization dedicated to providing free, evidence-based mental health and wellness resources.Go to source
  • Tantrums when you leave
  • Withdrawing from friends or family
  • Fear of leaving the house
  • Showing actual physical signs of distress
  • Talk or play therapy: A therapist will encourage your toddler to talk so your toddler is able to share their feelings. This can help the therapist tailor further therapies or medications. If your child is too young to speak, the therapist may recommend play therapy to help your child work on their anxiety.
  • Signs Of Separation Anxiety In Children

    The most obvious sign of separation anxiety is crying. Your child may start wailing as soon as you walk away and not stop until you get back. Other signs of separation anxietyespecially in infantsinclude clinging to you or not welcoming attention from other people.

    As your child gets older, you may notice different signs of separation anxiety, such as:

    • Refusing to go to school alone
    • Refusing to go to sleep alone
    • Requiring lots of attention from Mom and/or Dad
    • Being extremely afraid of being left alone
    • Crying and having tantrums when left with another caretaker
    • Complaining of physical symptomssuch as a headache or stomachachewhen separated from parents

    Also Check: How To Get Over Separation Anxiety In Adults

    Easing Separation Anxiety Disorder: Tips For School

    For children with separation anxiety disorder, attending school can seem overwhelming and a refusal to go is commonplace. But by addressing any root causes for your childs avoidance of school and by making changes at school, though, you can help reduce your childs symptoms.

    Help a child who has been absent from school return as quickly as possible. Even if a shorter school day is necessary initially, childrens symptoms are more likely to decrease when they discover that they can survive the separation.

    Ask the school to accommodate your childs late arrival. If the school can be lenient about late arrival at first, it can give you and your child a little wiggle room to talk and separate at your childs slower pace.

    Identify a safe place. Find a place at school where your child can go to reduce anxiety during stressful periods. Develop guidelines for appropriate use of the safe place.

    Allow your child contact with home. At times of stress at school, a brief phone calla minute or twowith family may reduce separation anxiety.

    Send notes for your child to read. You can place a note for your child in their lunch box or locker. A quick I love you! on a napkin can reassure a child.

    Provide assistance to your child during interactions with peers. An adults help, whether it is from a teacher or counselor, may be beneficial for both your child and the other children theyre interacting with.

    Tactics And Tips To Help You Avoid Separation Anxiety At Night

    Strategies to Ease Your Childâs Separation Anxiety â Welcome to The ...

    Here are a few strategies you can try to lessen separation anxiety at night:

    • Create a bedtime routine. Having one in place can make a difference, because it can set your babyâs expectations by keeping to a consistent pattern.

    • Leave the nursery door open. Your baby might feel comforted knowing he can still hear you in the other room.

    • Give your baby a transitional object. Babies normally develop a consoling habit during this time: He may suck his thumb, rock back and forth, and/or stroke and hug an object. Ask your healthcare provider if itâs OK to give him a small blankie or a stuffed animal.

    • Donât reward your babyâs behavior. Try not to inadvertently reward your baby for calling for you in the middle of the night. You can check on him to make sure that heâs not sick and doesn’t need a diaper change, and verbally comfort him. Beyond that, donât pick him up, take him back to bed with you, or turn on the light. Before leaving, encourage your baby to go back to sleep. If he continues to cry, you can comfort him for a little bit longer.

    If youâre looking for ways to get rewarded for all those diaper purchases youâre making, download the Pampers Club app today.

    Also Check: How To Know If You Anxiety

    When Does Separation Anxiety Start

    For many babies, separation anxiety starts at around 8 months of age, but you may start seeing indications of separation anxiety in your baby as early as 4 months. Thatâs because between 4 and 7 months babies begin to realize that people and objects exist even when they canât see them. This is called object permanence.

    For example, if you leave the room your baby will know that youâve gone away. Even though she knows you still exist, she will become upset because she can’t see you. Without any understanding of time , she won’t know when you’ll return or even if you will return and may cry or put up a fuss.

    How To Ease Toddler Separation Anxiety

    This article was co-authored by Laura Marusinec, MD and by wikiHow staff writer, Jessica Gibson. Dr. Marusinec is a board certified Pediatrician at the Children’s Hospital of Wisconsin, where she is on the Clinical Practice Council. She received her M.D. from the Medical College of Wisconsin School of Medicine in 1995 and completed her residency at the Medical College of Wisconsin in Pediatrics in 1998. She is a member of the American Medical Writers Association and the Society for Pediatric Urgent Care.

    It may seem tricky to navigate a situation in which a toddler shows signs of separation anxiety. The toddler may even cry, scream or throw a tantrum when a parent or caregiver leaves the room. This type of behavior is a typical part of the child’s development and is known as separation anxiety. Although this is a phase that most children go through, there are some things you can do to calm a distressed child and reduce their anxiety.

    Read Also: What Physical Symptoms Can Anxiety Cause

    Keep Your Goodbyes Brief

    Whenever you leave your child, give them advance warning that a babysitter will be arriving or that you’ll be dropping them off, then say a quick goodbye. “If you act anxious, or keep returning for another hug, they will think there is something to worry about,” says Vincent Barone, Ph.D., a child psychologist at Children’s Mercy Hospital in Kansas City, Missouri. Try to convey that the time apart is temporary and not cause for alarm.

    Stick With The Bedtime Routine

    Separation Anxiety In Children: What You Need To Know

    You should have already developed a bedtime routine to help your child wind down at night. It may include a bath, books, singing, or rocking. Stick with it, especially now. Your child needs consistency to help them feel more comfortable.

    Its soothing and relaxing, plus it gives them the predictability they need to feel safe, which can help ease some separation anxiety, because they know deep down youll return in the morning.

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    Symptoms Of Separation Anxiety Disorder

    The defining feature of Separation Anxiety Disorder is excessive fear or anxiety concerning the separation from home or attachment figures. This fear or anxiety exceeds what is to be expected of the individual given his/her developmental level.²

    Children and adolescents with Separation Anxiety Disorder experience at least three of the following symptoms:

    • Recurrent excessive distress when anticipating or experiencing separation from home or attachment figures

    • Persistent and excessive worry about losing an attachment figure or possible harm to them by illness, accident, disasters, or death

    • Persistent worry about experiencing an unexpected separation from an attachment figure

    • Refusal to go out or away from home, including to school or other activities, due to fear of separation

    • Excessive fear of being alone or without attachment figures

    • Refusal to sleep away from home or go to sleep without being near an attachment figure

    • Nightmares about separation

    • Physical complaints including headaches, stomachaches, and/or vomiting when away from attachment figures

    Symptoms of Separation Anxiety Disorder in children and adolescents last for at least four weeks and cause significant distress. School refusal is common with children and adolescents struggling with the disorder and can result in poor school attendance and poor academic functioning. Separation Anxiety Disorder can also impair social relationships and family relationships.

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